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SACRAMENTO, Calif. (AP) — Lawmakers can avoid the long lines plaguing California's Department of Motor Vehicles offices by visiting an office near the Capitol not open to the public, a decades-old practice under fresh fire as wait times surge.The office provides services for current and retired lawmakers, their staff and some other state employees, The Sacramento Bee reported Thursday. DMV spokesman Artemio Armenta said its primary purpose is to handle constituent requests that arrive on lawmakers' desks and that the two-member staff handles 10,000 requests per year.But one lawmaker said it shouldn't provide extra perks for the Capitol community as regular Californians are forced to wait up to hours in line for services at their local office.RELATED: Shorter lines? Larger DMV planned for Hillcrest"I have gotten my registration and all that stuff the old-fashioned way like everybody else in my district," Republican Assemblyman Jim Patterson told the Bee. "When you are living a public life the way most private people live, you'll understand when taxes hurt and bureaucracies hurt."Patterson's colleagues rejected his request to audit the DMV on Wednesday, and lawmakers have recently approved more money for the agency to deal with its exploding wait times.DMV officials said the long lines are due to complications complying with new federally mandated security upgrades for ID cards. In late 2020, airport security checkpoints will require so-called "Real ID" compliant cards, and Californians are now beginning to get the updated cards.RELATED: California lawmakers ask DMV officials about long linesLawmakers have approved tens of millions of dollars to hire more staff and implement the roll-out of Real ID. The DMV recently announced it would open more than a dozen offices on Saturdays.Whether lawmakers and Capitol staff should get access to a private DMV has been disputed before. Some people who work in and around the Capitol downplayed the office's existence in response to the Bee article, saying it's been known about for years. A 2006 Capitol Weekly article highlighted the debate over the office, referencing a small-government activist who criticized it for years.The office has been open for decades, moving locations around the Capitol. At one point it was open to the public. Now, the office is unmarked at the end of a hallway in the Legislative Office Building, located across the street from the Capitol.RELATED: State report: California DMV worker slept thousands of hours on the jobWhen a reporter stopped by on Friday, the door was locked and a woman who answered directed all questions to the public affairs office.Armenta, the DMV spokesman, said the door is locked because the office handles cash transactions and holds people's personally identifiable information. About 90 percent of the office's work relates to requests from constituents who call their lawmakers over complicated problems the local DMV branch may not be able to solve, he said."Often times it's a conduit for constituent work," Armenta said. "It provides the Legislature a way to be closely in contact with state government on helping customers with situations that they're having."Spokespeople for Assembly Speaker Anthony Rendon and Senate President Pro Tem Toni Atkins did not respond to questions about whether it's appropriate for lawmakers to get services at the office. 3398

Roughly 40 million people are estimated to wear a fitness tracker of some kind. Now one of those brands, Fitbit, has teamed up with researchers to try and predict COVID-19 symptoms before they start."About seven years ago when these Fitbits and things were coming out as fitness trackers, we said, Well they're probably pretty good physiological markers, not just fitness markers," said Dr. Michael Snyder with Stanford University's School of Medicine.Dr. Snyder says they were first able to use the technology to help them catch early signs of Lyme disease. The current pandemic has prompted them to take their research a step further."They're mostly built around heart rate which we think is better than skin temperature because not everyone gets a fever with COVID," said Dr. Snyder.Stanford's study is taking place in two phases. In the first, researchers evaluated six months of data in a majority of patients who tested positive for COVID-19. Their research showed COVID-19 patients had an elevated resting heart rate up to nine days before showing any symptoms of the virus."I view these as health monitors in the current pandemic. If we start flagging people as early as possible we’re going to be way [ahead in reducing] the number of cases, probably help people in saying no you shouldn’t go to work today. So, it has broad implications for the economy, pandemic spread and personal health period," said Dr. Snyder.Senior Vice President and General Manager of Fitbit Health Solutions, Amy McDonough, agrees."In particular, resting heart rate, heart rate variability, breathing rate all might change as your body is fighting off illness. So the study is really to look at what are the expressed changes that might happen," said McDonough."I think your immune system engages pretty quickly when you get ill and the cells are probably consuming a lot of energy and your heart needs to pound away to create some of them," said Dr. Snyder.Stanford's second phase of the study starts soon. People who have a fitness tracker can sign up and anonymously share their fitness data. Then, they can get alerted when researchers detect an elevated resting heart rate and possible early signs of contracting a virus."To be able to do that earlier detection can help keep people safe and help understand their body and when they might be fighting off illness," said McDonough.Dr. Snyder is confident in the technology, which he says helped him detect his own case of Lyme disease. "In one case which was on me, it was pretty clear I was ill because of the bio marker but I didn’t feel symptoms and my watch even picked that up. So what that tells you is it can detect disease when you’re presymptomatic as well as in asymptomatic cases which is pretty powerful," said Dr. Snyder.People can sign up for Stanford's study by logging into their Fitbit app or heading to innovations.stanford.edu.As for what Dr. Snyder hopes to take away from this study, he said "I hope to plant a wearable device on every person on the planet. Sixty percent of people have a smartphone so it's totally scalable. These are not expensive devices. They could be a lot cheaper than they are and obviously the ones in the future will be much more health-oriented."Eventually they hope to be able to detect the severity of an illness, as well. 3320

SACRAMENTO, Calif. (AP) — California Gov. Gavin Newsom and state legislative leaders have reached an agreement on a bill to temporarily protect people from evictions. Newsom announced the agreement on Friday. The bill would ban evictions for tenants who have not been able to pay their rent because of the coronavirus between the months of March and August. Tenants would have to sign a document saying they have a financial hardship because of the virus. The protections would continue beyond August if tenants can pay at least 25% of their cumulatively owed rent between Sept. 1 and Jan. 31. Evictions could resume on Feb. 1. 635

RICHMOND, Va. (AP) — By the time drug enforcement agents swooped into his small medical office in Martinsville, Virginia, in 2017, Dr. Joel Smithers had prescribed about a half a million doses of highly addictive opioids in two years.Patients from five states drove hundreds of miles to see him, spending up to 16 hours on the road to get prescriptions for oxycodone and other powerful painkillers."He's done great damage and contributed ... to the overall problem in the heartland of the opioid crisis," said Christopher Dziedzic, a supervisory special agent for the Drug Enforcement Administration who oversaw the investigation into Smithers.In the past two decades, opioids have killed about 400,000 Americans, ripped families apart and left communities — many in Appalachia — grappling with ballooning costs of social services like law enforcement, foster care and drug rehab.Smithers, a 36-year-old married father of five, is facing the possibility of life in prison after being convicted in May of more than 800 counts of illegally prescribing drugs, including the oxycodone and oxymorphone that caused the death of a West Virginia woman. When he is sentenced Wednesday, the best Smithers can hope for is a mandatory minimum of 20 years.Authorities say that, instead of running a legitimate medical practice, Smithers headed an interstate drug distribution ring that contributed to the opioid abuse epidemic in West Virginia, Kentucky, Ohio, Tennessee and Virginia.In court filings and at trial, they described an office that lacked basic medical supplies, a receptionist who lived out of a back room during the work week, and patients who slept outside and urinated in the parking lot.At trial, one woman who described herself as an addict compared Smithers' practice to pill mills she frequented in Florida."I went and got medication without — I mean, without any kind of physical exam or bringing medical records, anything like that," the woman testified.A receptionist testified that patients would wait up to 12 hours to see Smithers, who sometimes kept his office open past midnight. Smithers did not accept insurance and took in close to 0,000 in cash and credit card payments over two years."People only went there for one reason, and that was just to get pain medication that they (could) abuse themselves or sell it for profit," Dziedzic said.The opioid crisis has been decades in the making and has been fueled by a mix of prescription and street drugs.From 2000 to 2010, annual deaths linked to prescription opioids increased nearly fourfold. By the 2010s, with more crackdowns on pill mills and more restrictive guidelines on prescriptions, the number of prescriptions declined. Then people with addictions turned to even deadlier opioids. But the number of deaths tied to prescription opioids didn't begin to decline until last year, according to data from the U.S. Centers for Disease Control and Prevention.Martinsville, where Smithers set up shop, has been particularly hard hit.A city of about 14,000 near Virginia's southern border, Martinsville once was a thriving furniture and textile manufacturing center that billed itself as the "Sweatshirt Capital of the World." But when factories began closing in the 1990s, thousands of jobs were lost. Between 2006 and 2012, the city had the nation's third-highest number of opioid pills received per capita, according to an Associated Press analysis of federal data.Andrew Kolodny, a Brandeis University doctor who has long been critical of opioids, said that in recent years, doctors became less comfortable writing lots of opioid prescriptions and many big prescribers retired. That opened an opportunity for others."If you're one of the guys still doing this," he said, "you're going to have tons of patients knocking down your door."During his trial, Smithers testified that after he moved to Virginia, he found himself flooded with patients from other states who said many nearby pain clinics had been shut down. Smithers said he reluctantly began treating these patients, with the goal of weaning them off high doses of immediate-release drugs.He acknowledged during testimony that he sometimes wrote and mailed prescriptions for patients he had not examined but insisted that he had spoken to them over the phone.Once, he met a woman in the parking lot of a Starbucks, she handed him 0 and he gave her a prescription for fentanyl, an opioid pain reliever that is 50 to 100 times more potent than morphine.When area pharmacists started refusing to fill prescriptions written by Smithers, he directed patients to far-flung pharmacies, including two in West Virginia. Prosecutors say Smithers also used some patients to distribute drugs to other patients. Four people were indicted in Kentucky on conspiracy charges.At his trial, Smithers portrayed himself as a caring doctor who was deceived by some patients."I learned several lessons the hard way about trusting people that I should not have trusted," he said.Smithers' lawyer told the judge he had been diagnosed with depression and anxiety. Family members said through a spokesperson that they believe his decisions were influenced by personal stress, and emotional and mental strain.Even before he opened his Martinsville practice in August 2015, Smithers had raised suspicions. West Virginia authorities approached him in June 2015 about a complaint with his practice there, but when they returned the next day with a subpoena, they found his office cleaned out and a dumpster filled with shredded papers and untested urine samples.Some of Smithers' patients have remained fiercely loyal to him, insisting their severe chronic pain was eased by the powerful painkillers he prescribed.Lennie Hartshorn Jr., the father of the West Virginia woman who died two days after taking drugs Smithers prescribed, testified for the defense.Hartshorn said his daughter, Heather Hartshorn, told someone "she would rather be dead than in pain all the time." According to a form Heather Hartshorn filled out when she went to see Smithers, she had chronic pain in her lower back, legs, hips and neck from a severe car accident and a fall.When asked by Smithers' lawyer if he blames Smithers for anything, Lennie Hartshorn said he does not.Smithers has been denied bond while he awaits sentencing. His attorney did not respond to inquiries from AP. Smithers has said he plans to appeal.____Associated Press reporters Geoff Mulvihill and Riin Aljas contributed to this story. 6501

Russia has condemned US, UK and French strikes against targets in Syria over the alleged use of chemical weapons as the Western allies argued they were essential to deter the future use of illegal munitions.The overnight strikes hit three sites -- one in Damascus and two in Homs -- which US President Donald Trump said were "associated with the chemical weapon capabilities of Syrian dictator Bashar al-Assad."The action followed a week of threats of retaliation for a suspected chemical weapons attack on civilians in Douma, outside Damascus, where Syrian forces have long been battling rebels.Trump hailed the strike as "perfectly executed" in a tweet posted Saturday, adding "Mission Accomplished!"Russian President Vladimir Putin called the missile strikes an "act of aggression against a sovereign state" and said they were against the UN charter. Russia, a key ally of the Assad government, is calling for an immediate UN Security Council meeting, he said. 971